Active NPI
Olga McCain, PA-C
- Medical Physician Assistant
- Naperville, IL
National Provider Identifier
1467780189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085002443
- Practice address
- 4S100 N Route 59
Unit 6
Naperville, IL 60563-9641 - Phone
- (630) 416-8289
- Fax
- (630) 416-8306
- NPI assigned
- Nov 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085002443 | IL | Primary |
Addresses
Primary practice location
4S100 N Route 59
Unit 6
Naperville, IL 60563-9641
Mailing address
4S100 N Route 59
Unit 6
Naperville, IL 60563-9641
Phone (630) 416-8289
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036099362 | Other | IL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085002443 | IL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1467780189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4S100 N ROUTE 59",
"address_2": "UNIT 6",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605639641",
"telephone_number": "630-416-8289",
"fax_number": "630-416-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4S100 N ROUTE 59",
"address_2": "UNIT 6",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605639641",
"telephone_number": "630-416-8289",
"fax_number": "630-416-8306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAIN",
"first_name": "OLGA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-19",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085002443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "036099362",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.